Epithelial myoepithelial carcinoma of the parotid gland. The tumor showed necrosis and perineural invasion. There were foci of lymphovascular invasion, increased mitotic activity and severe nuclear atypia (shown) that were worrisome for high-grade transformation. Image courtesy of: Andrea Barbieri, MD, Department of Pathology, Yale School of Medicine, New Haven, CT, USA. Used with permission.